Cov txheej txheem:
- Cov Tshuaj Ntshav Qab Zib
- Cov kev hloov pauv hloov mus los feem ntau tau muab cais ua cov hauv qab no:
Video: Hom tshuaj tiv thaiv ntshav ntau tshaj plaws yog dab tsi?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Febrile tsis hemolytic hloov ntshav cov tshuaj tiv thaiv yog cov feem ntau cov tshuaj tiv thaiv qhia tom qab a ntshav . FNHTR yog tus yam ntxwv ua npaws lossis ua daus no thaum tsis muaj hemolysis (tawg ntawm cov qe ntshav liab) tshwm sim hauv tus neeg mob thaum lossis txog 4 teev tom qab ntshav.
Ib yam li ntawd, tib neeg nug, hom kev hloov pauv dab tsi yog dab tsi?
Cov Tshuaj Ntshav Qab Zib
- Haemolytic Hloov Cov Tshuaj Tiv Thaiv.
- Febrile Reactions.
- Kev ua xua.
- Kev kis kab mob kis.
- Transfusion-ntsig txog mob ntsws raug mob.
- Transfusion-Associated Circulatory Overload.
- Ncua Haemolytic Transfusion Reactions.
- Transfusion-Associated Graft-Versus-Host Disease.
dab tsi yog qhov ua rau kev hloov pauv tshuaj? Cov tshuaj tiv thaiv kab mob hauv cov neeg tau txais cov ntshav tuaj yeem tua cov ntshav pub dawb yog tias ob qho tsis sib xws. Yog tias tus neeg tau txais kev tiv thaiv kab mob tawm tsam cov qe ntshav liab ntawm tus neeg pub dawb, nws yog hu ua a hemolytic cov tshuaj tiv thaiv . Koj tuaj yeem muaj qhov tsis haum tshuaj tiv thaiv rau ntshav ntshav ib yam nkaus.
Tsis tas li ntawd, dab tsi yog qhov ua rau mob hnyav lossis tuag taus?
Qhov xwm txheej ntawm kev hloov ntshav yog kwv yees li 1: 5000 units hloov , thiab kev mob ntshav siab tshwm sim ntawm tus nqi ntawm 1: 100, 000 units hloov . Cov tshuaj tiv thaiv hnyav tshaj plaws tshwm sim los ntawm ABO tsis sib xws. Cov feem ntau ua rau ntawm transfusing ABO-incompatible ntshav yog clerical yuam kev.
Hom tshuaj tiv thaiv kab mob dab tsi tuaj yeem tshwm sim nrog kev tso ntshav?
Cov kev hloov pauv hloov mus los feem ntau tau muab cais ua cov hauv qab no:
- Kev kis mob ntsig txog mob ntsws hnyav (TRALI)
- Circulatory (ntim) overload.
- Kab mob kis kab mob thiab endotoxemia.
- Mob hemolytic tshuaj tiv thaiv.
- Nonhemolytic febrile tshua.
- Kev ua xua.
Pom zoo:
Hom ntshav twg muaj ob qho tshuaj tiv thaiv A thiab tiv thaiv B hauv lawv cov ntshav?
ABO antigens thiab cov tshuaj tiv thaiv Lub npe ntawm Pawg Ntshav Antigens muaj nyob rau ntawm cov xov tooj liab liab ABO cov tshuaj tiv thaiv tam sim no hauv ntshav Hom O nil anti-A thiab anti-B Hom A A antigen anti-B Type B B antigen anti-A Type AB A thiab B antigens nil
Dab tsi yog qhov kev tiv thaiv zoo tshaj plaws rau yoov tshaj cum tom?
Yuav ua li cas kom txhob yoov tshaj cum Tsis txhob yoov tshaj cum hotspots. Hnav cov xim xim. Siv tshuaj tua kab. Zam qee lub sij hawm ntawm ib hnub. Hnav khaub ncaws kom tsim nyog. Tshem cov dej nyob ruaj khov. Siv kab kab. Ua kom huab cua ncig
Dab tsi yog hom kev siv hluav taws xob tiv thaiv los tiv thaiv?
Teb Kws Paub Pov Thawj. Cov lus teb raug yog gamma rays
Cov khoom siv ntshav dab tsi tuaj yeem tiv thaiv febrile Nonhemolytic cov tshuaj tiv thaiv?
Tsuas yog 1 ntawm 7 tus neeg mob ntsib tus kab mob febrile nonhemolytic cov tshuaj tiv thaiv yuav muaj lwm cov tshuaj tiv thaiv ntawm lawv cov kev xa mus tom ntej. Txoj hauv kev zoo tshaj los tiv thaiv kev mob febrile hnyav yog siv cov khoom muaj nqis leukocyte txo cov qe ntshav liab thiab cov qe ntshav liab apheresis
Dab tsi yog cov tshuaj tiv thaiv thiab lawv cuam tshuam nrog cov tshuaj tiv thaiv li cas?
Cov tshuaj tiv thaiv kab mob (immunoglobins) yog cov protein zoo li Y tsim los ntawm B hlwb ntawm lub cev tiv thaiv kab mob hauv kev teb rau kis rau antigens. Txhua cov tshuaj tiv thaiv muaj ib qho paratope uas paub txog ib qho epitope ntawm ib qho antigen, ua zoo li lub xauv thiab qhov tseem ceeb binding mechanism